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- Restricted Adcirca --> Restricted to initiation by pulmonology, cardiology, pediatric critical care, and rheumatology.
- Restricted Cialis --> Restricted to the treatment of BPH.
- Restricted Miscellaneous Program Formulary
| Drug Name |
Form |
Strength |
Formulary Unrestricted |
Formulary Restricted |
Non-Formulary |
Interchange |
| Cialis |
TABLET, ORAL |
5 mg |
|
|
|
|
| Cialis |
TABLET, ORAL |
10 mg, 20 mg |
|
|
|
|
| Adcirca |
TABLET, ORAL |
20 mg |
|
|
|
|
Last updated: Apr. 15, 2024
Adcirca is approved for sample use in HH Endocrinology and Diabetes Clinics.
Adcirca is classified as FORMULARY, restricted to pulmonology, cardiology, rheumatology, and pediatric critical care. Initiation should be deferred to outpatient therapy if possible. Reviewed: September 22, 2009.
Cialis 5 mg is classified as formulary, restricted to use in BPH. Updated: September 23, 2014
Cialis Reviewed: December 15, 2005